USPTO Patents Application 10014747

JJndefthePac

: Roduction Act of 1995. no i

PATENT APPLICATION FEE DETERMINATION RECORD

Substitute for Forni PTO-875

AppJ

CLAIMS AS FILED - PART I

FOR

NUMBER FILED

1 ' 1

NUMBER EXTRA

BASIC FEE

P7 CFR 1.16(8))

TOTAL CLAIMS
(37 CFR 1.16(c))

minus 20 =

INDEPENDENT CLAIMS
(37 CFR 1.16(b))

minus 3 -

•

MULTIPLE DEPENDENT CLAIM PRESENT p7 CFR 1.16(d))

SMAUENTrrv

OR

• tf the difference in oolumn.1 is less than zero, enter 'Q' in column 2.

CLAI^4S AS AMENDED - PART 11

OTHER THAN
SMALL EMTTTY

(Coiumn 1)

AMENDMENT a'

CLAIMS
REMAINING •

AFTER
AMENDMENT

HIGHEST
. NUMBER .
PREVIOUSLY

PA^FOR*

PRESENT
EXTRA

Total

Minus.

• Intependsnt

07CFR1.16(bn

Minus

FRST PRESENTATION OF MULTjPlE OEPGNOeNT CLWM^37 CFl

R 1.16(d))

RATE

FEE

RATE

FEE 1

OR

OR

x^=

OR

TOTAL

OR

TOTAL

/ 1

SMALL EfsmTY

OR

OTHER THAhi 1
SMAaENTITY I

RATE

ADOI-
TONAL .
FEE

RATE .

AOOl- 1
TIONAL 1
FEE 1

OR

OR

xJtOO

OR

1 '

TOTAL
AOOTFEE

OR

TOTAL
ADD! FEE

AMENDMENT B

CLAIMS
REMAINING
AFTER
AMENDMENT

HIGHEST
NUMBER
PREVIO.USLY
PA10ff=bR •

Pf^SENT
EXTRA

•Total
prom«.i6(cn

«

Minus

s'

Imiependem

car CFR i.ie^fi

*

Minus

e

F«ST PRESENTATION OF MULTIPlfOEPENDEMT CLAIM (37CFR 1.16(d})

(Cotumn 1) (Coluinn2) <Coiumn3)

AMENDMENTC

CLAIMS
REMAINING

AFTER
AMENDMENT

HIGHEST
NUMBER
PREVIOUSLY
PAID FOR

PRESENT
EXTRA

Total

. (S7CfRl.1G(c}) .

«

Minus

*•

Independent *

(37 CfR 1.16(b)).

•

Minus

«««

s

FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM (37 CFR 1.16(d))

RATE

ADDI<
TIONAL
FEE

-lot

TOTAL
ADDXFEE

RATE

TOTAL
ADDXFEE

ADDI-
TIONAL
FEE

RATE

ADOI-
JONAL
FEE

xi^'P

JL 100

TOTAL
ADOr FEE

OR

OR

OR

OR

RATE

TOTAL
ADDIFEE

ADDI-
TIONAL
FEE

•"ifthe -Highest Nun*erProviou$ly Paid For lf4^IS SPACE b less tt^^^ * ' -

•••If the -Highest Numt»er Previously Paid FoTlN THIS SPACE is less than 3. enter ' . ' ' "
^ The ^Highest Number Previously Paid FoT qotal or I ndependent) is the htflhost numtierfound in the aporopriate box in co (umn 1

U^^ta^l^^'T^!^ '^n'^J^rL^ ^ to obtain or retain 7l!endH by the public ^ich is to file (and by (he

i^rJSJ '^r^^ ^^J^^ 35 U.S.C. 122 and 37 a=R 1.14. This oolleciion is estimated (o take 12 minutes to complete

^udmg Cathenng. prepariiig, and submittiog Uie completed appfication form to the USPTO. Time vary depending upon the indivSualcase^c^nb
^ T«T"'i^^ )^ require to oomplala ife fscm and/or suggestioos far redudng this burdea, sh«5 bo^ to theChief Zm^^oTuT^

S?DR^'^EN^.*^|5^ "^rr^o ^"^n^^ '^^'^'^^ 22313-1450. DO NOTSENO FEES OR cS3?S?^7S^^

ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alej^andrta. VA 22313*1450.

if you need assisfance IncomfUeting ttw form, caff 1-^004*10-9199 and sefecf oplion 2,

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